间质部异位妊娠破裂：一例病例报告及文献复习
Ruptured interstitial ectopic pregnancy: A case report and review of the literature.
作者信息
Boujida Sarah, M'hamdi Oumaima, Mahfoud Hounaida, Baydada Aziz, Kharbach Aicha
机构信息
Department of Gynecology and Obstetrics, Maternity of Souissi, Faculty of Medicine, Mohamed V Souissi University, Rabat, Morocco.
出版信息
Ann Med Surg (Lond). 2022 Jun 24;79:104076. doi: 10.1016/j.amsu.2022.104076. eCollection 2022 Jul.
INTRODUCTION
Interstitial pregnancy is a rare type of ectopic pregnancy. The aim of our publication is to describe the diagnosis and treatment of this entity.
CASE REPORT
We report the case of a ruptured interstitial pregnancy diagnosed in a 32 years old patient admitted for acute abdominal pain.
DISCUSSION
The main symptom was severe pelvic pain in a context of amenorrhea. The ultrasound found the ectopic pregnancy in the form of an eccentric gestational sac with an empty uterine cavity as well as intraperitoneal effusion. A ruptured ectopic pregnancy was suspected and the patient was admitted immediately for emergency laparotomy with cornusotomy and salpingectomy.
CONCLUSION
Interstitial ectopic pregnancy is associated with high morbidity. Its diagnosis and management should be early and adequate in order to avoid complications and preserve fertility.
引言
间质部妊娠是一种罕见的异位妊娠类型。我们发表此文的目的是描述该疾病的诊断和治疗。
病例报告
我们报告一例间质部妊娠破裂的病例，患者为一名32岁女性，因急性腹痛入院。
讨论
主要症状为闭经情况下的严重盆腔疼痛。超声检查发现异位妊娠表现为偏心妊娠囊，宫腔空虚，伴有腹腔积液。怀疑为异位妊娠破裂，患者立即入院接受急诊剖腹手术，行宫角切开术和输卵管切除术。
结论
间质部异位妊娠发病率高。其诊断和处理应尽早且恰当，以避免并发症并保留生育能力。
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